海扶刀对子宫肌瘤患者治疗效果及妊娠结局的影响(1)
【摘要】 目的：探讨海扶刀对子宫肌瘤患者治疗效果及妊娠结局的影响。方法：选取2017年1-12月
本科收治的102例妇科子宫肌瘤患者作为研究对象。按随机数字表法分为试验组(n=51)和对照组(n=51)，对照组经腹腔镜行子宫肌瘤剔除术治疗，试验组采用高强度聚焦超声消融(海扶刀)治疗。对两组术中出血量、手术时间、下床活动时间、住院时间、治疗效果以及妊娠结局进行比较分析。结果：试验组术中出血量、下床活动时间、住院时间和术后平均妊娠时间均明显少于对照组(P<0.05)，两组手术时间比较差异无统计学意义(P>0.05);试验组治疗总有效率、术后妊娠率和成功抱婴率与对照组比较，差异均无统计学意义(P>0.05)。结论：子宫肌瘤患者应用海扶刀治疗，能明显减少术中出血量，缩短下床活动时间、住院时间及平均妊娠时间，对妊娠结局产生积极的意义。
【关键词】 海扶刀 子宫肌瘤 妊娠结局 腹腔镜子宫肌瘤剔除术
Effect of HIFU on Treatment Effect and Pregnancy Outcome in Patients with Uterine Myoma/DENG Shaojun， LIN Yuanmei， PENG Huiliu. //Medical Innovation of China， 2020， 17(03)： -117
[Abstract] Objective： To investigate the effect of HIFU on treatment effect and pregnancy outcome in patients with uterine myoma. Method： From January to December 2017， 102 patients with gynecological uterine myoma were selected as the subjects. According to the random digital table method， they were divided into the experimental group (n=51) and the control group (n=51). The control group was treated with laparoscopic myomectomy， and the experimental group was treated with high intensity focused ultrasound ablation (HIFU). The amount of intraoperative bleeding， operation time， the activity time of getting out of bed， hospitalization time， the effect of treatment and the outcome of pregnancy were compared and analyzed between two groups. Result： The amount of intraoperative bleeding， the time of getting out of bed， the time of hospitalization and the average time of pregnancy after operation in the experimental group were significantly shorter than those in the control group (P<0.05)， but there was no significant difference in operation time between two groups (P>0.05). The total effective rate， postoperative pregnancy rate and successful baby holding rate in the experimental group compared with the control group， there were no significant differences between two groups (P>0.05). Conclusion： The method for treating uterine myoma can obviously reduce the intraoperative blood loss ， shorten the operation time of the lower bed， the hospital stay time and the average pregnancy time after the operation， and have a positive effect on the pregnancy outcome of the patient.
[Key words] HIFU Uterine myoma Pregnancy outcome Laparoscopic myomectomy
First-author’s address： Dongguan Kanghua Hospital， Dongguan 523000， China
doi：10.3969/j.issn.1674-4985.2020.03.028
子宮肌瘤是子宫平滑肌瘤的简称，由结缔组织和平滑肌组成，是一种最为常见的女性生殖系统良性肿瘤，其发病率随着女性生育年龄的增长而增长。子宫肌瘤患者多无症状，或仅在超声检查及盆腔检查中被发现，临床上常表现为贫血、腹部包块、月经改变、下腹部坠胀、腰背酸痛、不孕及流产等[1-3]。其中，不孕与流产作为子宫肌瘤最严重的临床表现，是由子宫内膜容受性下降、子宫收缩与蠕动障碍、子宫肌层形成异常血管、雌激素升高等因素引起，严重威胁到患者的生活质量。, 百拇医药(邓少君 林元媚 彭慧柳)
本科收治的102例妇科子宫肌瘤患者作为研究对象。按随机数字表法分为试验组(n=51)和对照组(n=51)，对照组经腹腔镜行子宫肌瘤剔除术治疗，试验组采用高强度聚焦超声消融(海扶刀)治疗。对两组术中出血量、手术时间、下床活动时间、住院时间、治疗效果以及妊娠结局进行比较分析。结果：试验组术中出血量、下床活动时间、住院时间和术后平均妊娠时间均明显少于对照组(P<0.05)，两组手术时间比较差异无统计学意义(P>0.05);试验组治疗总有效率、术后妊娠率和成功抱婴率与对照组比较，差异均无统计学意义(P>0.05)。结论：子宫肌瘤患者应用海扶刀治疗，能明显减少术中出血量，缩短下床活动时间、住院时间及平均妊娠时间，对妊娠结局产生积极的意义。
【关键词】 海扶刀 子宫肌瘤 妊娠结局 腹腔镜子宫肌瘤剔除术
Effect of HIFU on Treatment Effect and Pregnancy Outcome in Patients with Uterine Myoma/DENG Shaojun， LIN Yuanmei， PENG Huiliu. //Medical Innovation of China， 2020， 17(03)： -117
[Abstract] Objective： To investigate the effect of HIFU on treatment effect and pregnancy outcome in patients with uterine myoma. Method： From January to December 2017， 102 patients with gynecological uterine myoma were selected as the subjects. According to the random digital table method， they were divided into the experimental group (n=51) and the control group (n=51). The control group was treated with laparoscopic myomectomy， and the experimental group was treated with high intensity focused ultrasound ablation (HIFU). The amount of intraoperative bleeding， operation time， the activity time of getting out of bed， hospitalization time， the effect of treatment and the outcome of pregnancy were compared and analyzed between two groups. Result： The amount of intraoperative bleeding， the time of getting out of bed， the time of hospitalization and the average time of pregnancy after operation in the experimental group were significantly shorter than those in the control group (P<0.05)， but there was no significant difference in operation time between two groups (P>0.05). The total effective rate， postoperative pregnancy rate and successful baby holding rate in the experimental group compared with the control group， there were no significant differences between two groups (P>0.05). Conclusion： The method for treating uterine myoma can obviously reduce the intraoperative blood loss ， shorten the operation time of the lower bed， the hospital stay time and the average pregnancy time after the operation， and have a positive effect on the pregnancy outcome of the patient.
[Key words] HIFU Uterine myoma Pregnancy outcome Laparoscopic myomectomy
First-author’s address： Dongguan Kanghua Hospital， Dongguan 523000， China
doi：10.3969/j.issn.1674-4985.2020.03.028
子宮肌瘤是子宫平滑肌瘤的简称，由结缔组织和平滑肌组成，是一种最为常见的女性生殖系统良性肿瘤，其发病率随着女性生育年龄的增长而增长。子宫肌瘤患者多无症状，或仅在超声检查及盆腔检查中被发现，临床上常表现为贫血、腹部包块、月经改变、下腹部坠胀、腰背酸痛、不孕及流产等[1-3]。其中，不孕与流产作为子宫肌瘤最严重的临床表现，是由子宫内膜容受性下降、子宫收缩与蠕动障碍、子宫肌层形成异常血管、雌激素升高等因素引起，严重威胁到患者的生活质量。, 百拇医药(邓少君 林元媚 彭慧柳)
参见：首页 > 医疗版 > 疾病专题 > 妇产科 > 女性生殖器官肿瘤及肿瘤样病变 > 子宫肌瘤